Individual
KIMBERLY A MOEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11413 ASH ST, STE 100, LEAWOOD, KS 66211-1692
(913) 661-9977
(913) 661-9577
Mailing address
14219 KENNEDY RD, GREENWOOD, MO 64034-8234
(816) 529-6463
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
124621
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
54669
KS
Other
Enumeration date
06/18/2006
Last updated
12/12/2019
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